Healthcare Provider Details

I. General information

NPI: 1568777480
Provider Name (Legal Business Name): ATLURI & ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2010
Last Update Date: 09/24/2020
Certification Date: 09/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8542 SIEGEN LN
BATON ROUGE LA
70810-1940
US

IV. Provider business mailing address

8542 SIEGEN LN
BATON ROUGE LA
70810-1940
US

V. Phone/Fax

Practice location:
  • Phone: 225-767-3263
  • Fax: 225-767-3262
Mailing address:
  • Phone: 225-767-3263
  • Fax: 225-767-3262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number202083
License Number StateLA

VIII. Authorized Official

Name: MRS. CHERYL CORMIER
Title or Position: OFFICE MANAGER
Credential:
Phone: 225-767-3263